NPI | 1578293197 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-77453) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-22-220555) |
Enumeration Date | 2022-06-15 |
Last Update Date | 2024-12-03 |